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Inpatient Consultation, Straightforward

Wisconsin rates for HCPCS 99251

A specialist's opinion requested by the team looking after you while you are in hospital. The specialist reviews the specific question asked, takes a focused history, examines you and sends back a written opinion and recommendations. This version covers a brief consultation about a comparatively simple question.

Rates data updated July 2026.

How much does Inpatient Consultation, Straightforward cost?

$151

Typical physician fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $151 for this service. Most negotiated rates run $135 to $501.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $54 · 10th to 90th $35 to $200Professionalmedian $151 · 10th to 90th $135 to $501
$50$100$200$500facility $54professional $151

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Cigna
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Molina
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Quartz
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$199.53
Typical High
$199.53
Quartz
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$501.19
Typical High
$501.19
United
Setting
Facility
Modifier
Global
Typical Low
$35.48
Median
$50.12
Typical High
$53.70
United
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$85.11
Typical High
$107.15

Where Wisconsin sits

The same service costs 16.6 times more in Massachusetts than in South Carolina. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 15th of 42

$151

MA $501SC $30.20

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.